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Consider cortisol first

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Okay so I have been following but not posting much for a little while. I have been frustrated, feeling like I don’t have much advice to offer others because I have been searching for my own answers and very embarrassed about my weigh gain.

Anyways, for those of you who don’t know me, I had my surgery March 9, 2021 at 235 (5’8”). I lost pretty steadily down to 169 but then stalled for months on end until my appetite came back and I started gaining and continue to gain. I have been struggling uphill while searching for answers ever since.

The bariatric team blames my psyc meds but the prescribing dr claims they are weight neutral meds. My family dr agrees and showed me an article about the cravings they cause but he ordered thyroid and diabetes tests too which came back fine but I continue to gain so I made an appointment with an endocrine doctor thanks to a few people on here who suggested it.

I finally just seen the endo doc and My cortisol was elevated on the suppression test so I just completed the two day saliva test which hopefully will bring some more answers but what they have said so far is that it’s probably sub clinical cushings which takes a while to confirm.

I thought about waiting until I had more info but they said it will be another two or three weeks for these results and I may need more tests after that. I guess MY diagnosis is not really the point anyways. My point is I have recently learned of three things that could be the culprit of my weight that were never tested before surgery and I wonder why they don’t mention these tests pre surgery. I mean They are simple blood tests.

I even googled to see why the cushings thing isn’t investigated since it doesn’t resolve with bariatric surgery and all I could find was one article that said it is of course suggested if you present with any of the classic symptoms but in terms of a blanket requirement for people considering bariatric surgery this person felt it unnecessary because it’s not extremely common. I guess maybe that’s the view of my doctor too but I sure wish I was presented with the option at least.

I am just curious whether these are things that are tested or even brought up by other people doctors prior to surgery or what others think about whether they should be. And perhaps to give some people things they can investigate first if they are on the fence about surgery. I just feel like the surgery was never going to work for me because it seems likely that the root of my issue is still there. I am maintaining SOME of the loss but according to what I understand about what I have read so far, left untreated I will steadily continue to gain.

I know this is still up in the air and not a super common thing regardless but I can’t be the only one struggling with this pre or post surgery and I hope my experience can help someone else struggle just a little less cause watching everyone around me try to be polite as I slowly put the weight back on has felt even worse than being obese was to begin with. I am trying to hang In there for answers and give myself grace but it’s hard to not feel like a failure as I continue to gain and everyone now knows I had surgery and of course I have to wonder if I blew my one shot at surgery because I am doing these tests after instead of before surgery.

Regardless, if you are someone who doesn’t really make a ton of poor food choices but just eats more than “normal” because you always feel hungry, consider a cortisol test before surgery. I wish I had.

Edited by ShoppGirl

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Thank you, that was interesting.

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AND some people still think this surgery is a easy fix !

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